Capacity 7. 8-17
| Severity | Date | Standard / narrative | Corrected |
|---|
| 4 | — |
748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
Based on a review of the information, it was determined that an adolescent in care sustained an injury that warranted treatment by a medical professional; however, the incident was not reported to Licensing within required timeframe. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
This standard is marked deficient due to there being a finding of abuse or neglect. |
— |
| 3 | — |
748.1437(5) - Discharge/Transfer Documentation-Must include list of medications child is taking, dosage, frequency, and reason prescribed
Review of the discharge summary showed medications were not listed. |
— |
| 4 | — |
748.2259(a) - Psychotropic medication documentation-Maintain a daily record of the child's use of psychotropic medication according to requirements in 748.2151
Medication logs reviewed for Brody's two prescribed medications (Lisderamfeta (am) and Risperidone (pm) revealed several missing dates. There is no entry for the am medication for 7/16, 7/20, 7/27, 8/10, 8/11. There is no entry on the pm medication for 7/15, 7/16, 7/26, 7/27, 8/7 and 8/9. There is no explanation for any of the missed entries. Of the incident reports submitted, only 1 indicated a medication refusal. There were also 2 instances in which the morning medication was administered at 3pm and 10pm without any explanation. |
— |
| 4 | — |
748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
The operation failed to report to Licensing the hospitalization of a child within 24 hours. |
— |
| 5 | — |
748.4041 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance
The van used to transport children does not have liability insurance. |
— |
| 1 | — |
748.1703(b) - Menus-must document food substitutions on the menu that are of comparable food value
Observation of a menu change and nothing documented and speaking with the Administrator it was determined when an item is changed then it has not been documented. |
— |
| 3 | — |
748.1437(5) - Discharge/Transfer Documentation-Must include list of medications child is taking, dosage, frequency, and reason prescribed
Review of the discharge summary showed medications were not listed. |
— |
| 5 | — |
748.4041 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance
The van used to transport children does not have liability insurance. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
This standard is marked deficient due to there being a finding of abuse or neglect. |
— |
| 4 | — |
748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
Based on a review of the information, it was determined that an adolescent in care sustained an injury that warranted treatment by a medical professional; however, the incident was not reported to Licensing within required timeframe. |
— |
| 4 | — |
748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
The operation failed to report to Licensing the hospitalization of a child within 24 hours. |
— |
| 4 | — |
748.2259(a) - Psychotropic medication documentation-Maintain a daily record of the child's use of psychotropic medication according to requirements in 748.2151
Medication logs reviewed for Brody's two prescribed medications (Lisderamfeta (am) and Risperidone (pm) revealed several missing dates. There is no entry for the am medication for 7/16, 7/20, 7/27, 8/10, 8/11. There is no entry on the pm medication for 7/15, 7/16, 7/26, 7/27, 8/7 and 8/9. There is no explanation for any of the missed entries. Of the incident reports submitted, only 1 indicated a medication refusal. There were also 2 instances in which the morning medication was administered at 3pm and 10pm without any explanation. |
— |
| 1 | — |
748.1703(b) - Menus-must document food substitutions on the menu that are of comparable food value
Observation of a menu change and nothing documented and speaking with the Administrator it was determined when an item is changed then it has not been documented. |
— |
| 4 | — |
748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
Based on a review of the information, it was determined that an adolescent in care sustained an injury that warranted treatment by a medical professional; however, the incident was not reported to Licensing within required timeframe. |
— |
| 4 | — |
748.2259(a) - Psychotropic medication documentation-Maintain a daily record of the child's use of psychotropic medication according to requirements in 748.2151
Medication logs reviewed for Brody's two prescribed medications (Lisderamfeta (am) and Risperidone (pm) revealed several missing dates. There is no entry for the am medication for 7/16, 7/20, 7/27, 8/10, 8/11. There is no entry on the pm medication for 7/15, 7/16, 7/26, 7/27, 8/7 and 8/9. There is no explanation for any of the missed entries. Of the incident reports submitted, only 1 indicated a medication refusal. There were also 2 instances in which the morning medication was administered at 3pm and 10pm without any explanation. |
— |
| 4 | — |
748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
The operation failed to report to Licensing the hospitalization of a child within 24 hours. |
— |
| 3 | — |
748.1437(5) - Discharge/Transfer Documentation-Must include list of medications child is taking, dosage, frequency, and reason prescribed
Review of the discharge summary showed medications were not listed. |
— |
| 5 | — |
748.4041 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance
The van used to transport children does not have liability insurance. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
This standard is marked deficient due to there being a finding of abuse or neglect. |
— |
| 1 | — |
748.1703(b) - Menus-must document food substitutions on the menu that are of comparable food value
Observation of a menu change and nothing documented and speaking with the Administrator it was determined when an item is changed then it has not been documented. |
— |
| 3 | — |
748.1437(5) - Discharge/Transfer Documentation-Must include list of medications child is taking, dosage, frequency, and reason prescribed
Review of the discharge summary showed medications were not listed. |
— |
| 4 | — |
748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
The operation failed to report to Licensing the hospitalization of a child within 24 hours. |
— |
| 4 | — |
748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
Based on a review of the information, it was determined that an adolescent in care sustained an injury that warranted treatment by a medical professional; however, the incident was not reported to Licensing within required timeframe. |
— |
| 5 | — |
748.4041 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance
The van used to transport children does not have liability insurance. |
— |
| 4 | — |
748.2259(a) - Psychotropic medication documentation-Maintain a daily record of the child's use of psychotropic medication according to requirements in 748.2151
Medication logs reviewed for Brody's two prescribed medications (Lisderamfeta (am) and Risperidone (pm) revealed several missing dates. There is no entry for the am medication for 7/16, 7/20, 7/27, 8/10, 8/11. There is no entry on the pm medication for 7/15, 7/16, 7/26, 7/27, 8/7 and 8/9. There is no explanation for any of the missed entries. Of the incident reports submitted, only 1 indicated a medication refusal. There were also 2 instances in which the morning medication was administered at 3pm and 10pm without any explanation. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
This standard is marked deficient due to there being a finding of abuse or neglect. |
— |
| 1 | — |
748.1703(b) - Menus-must document food substitutions on the menu that are of comparable food value
Observation of a menu change and nothing documented and speaking with the Administrator it was determined when an item is changed then it has not been documented. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
This standard is marked deficient due to there being a finding of abuse or neglect. |
— |
| 4 | — |
748.2259(a) - Psychotropic medication documentation-Maintain a daily record of the child's use of psychotropic medication according to requirements in 748.2151
Medication logs reviewed for Brody's two prescribed medications (Lisderamfeta (am) and Risperidone (pm) revealed several missing dates. There is no entry for the am medication for 7/16, 7/20, 7/27, 8/10, 8/11. There is no entry on the pm medication for 7/15, 7/16, 7/26, 7/27, 8/7 and 8/9. There is no explanation for any of the missed entries. Of the incident reports submitted, only 1 indicated a medication refusal. There were also 2 instances in which the morning medication was administered at 3pm and 10pm without any explanation. |
— |
| 4 | — |
748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
The operation failed to report to Licensing the hospitalization of a child within 24 hours. |
— |
| 4 | — |
748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
Based on a review of the information, it was determined that an adolescent in care sustained an injury that warranted treatment by a medical professional; however, the incident was not reported to Licensing within required timeframe. |
— |
| 1 | — |
748.1703(b) - Menus-must document food substitutions on the menu that are of comparable food value
Observation of a menu change and nothing documented and speaking with the Administrator it was determined when an item is changed then it has not been documented. |
— |
| 3 | — |
748.1437(5) - Discharge/Transfer Documentation-Must include list of medications child is taking, dosage, frequency, and reason prescribed
Review of the discharge summary showed medications were not listed. |
— |
| 5 | — |
748.4041 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance
The van used to transport children does not have liability insurance. |
— |
| 4 | — |
748.2259(a) - Psychotropic medication documentation-Maintain a daily record of the child's use of psychotropic medication according to requirements in 748.2151
Medication logs reviewed for Brody's two prescribed medications (Lisderamfeta (am) and Risperidone (pm) revealed several missing dates. There is no entry for the am medication for 7/16, 7/20, 7/27, 8/10, 8/11. There is no entry on the pm medication for 7/15, 7/16, 7/26, 7/27, 8/7 and 8/9. There is no explanation for any of the missed entries. Of the incident reports submitted, only 1 indicated a medication refusal. There were also 2 instances in which the morning medication was administered at 3pm and 10pm without any explanation. |
— |
| 5 | — |
745.621(a)(7) - AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605
During an unannounced inspection, it was found that a staff member, Sharon Branch, did not have a background check. It was reported Ms. Branch is not a caregiver and has no interactions with children in care. Ms. Branch completes work at the facility when children are not present. Staff's background check was submitted while at the operation during the inspection. |
Yes |
| 4 | — |
748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
Based on a review of the information, it was determined that an adolescent in care sustained an injury that warranted treatment by a medical professional; however, the incident was not reported to Licensing within required timeframe. |
— |
| 5 | — |
748.4041 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance
The van used to transport children does not have liability insurance. |
— |
| 4 | — |
748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
The operation failed to report to Licensing the hospitalization of a child within 24 hours. |
— |
| 1 | — |
748.1703(b) - Menus-must document food substitutions on the menu that are of comparable food value
Observation of a menu change and nothing documented and speaking with the Administrator it was determined when an item is changed then it has not been documented. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
This standard is marked deficient due to there being a finding of abuse or neglect. |
— |
| 3 | — |
748.1437(5) - Discharge/Transfer Documentation-Must include list of medications child is taking, dosage, frequency, and reason prescribed
Review of the discharge summary showed medications were not listed. |
— |
| 4 | — |
748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
Based on a review of the information, it was determined that an adolescent in care sustained an injury that warranted treatment by a medical professional; however, the incident was not reported to Licensing within required timeframe. |
— |
| 4 | — |
748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
The operation failed to report to Licensing the hospitalization of a child within 24 hours. |
— |
| 5 | — |
748.4041 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance
The van used to transport children does not have liability insurance. |
— |
| 4 | — |
748.2259(a) - Psychotropic medication documentation-Maintain a daily record of the child's use of psychotropic medication according to requirements in 748.2151
Medication logs reviewed for Brody's two prescribed medications (Lisderamfeta (am) and Risperidone (pm) revealed several missing dates. There is no entry for the am medication for 7/16, 7/20, 7/27, 8/10, 8/11. There is no entry on the pm medication for 7/15, 7/16, 7/26, 7/27, 8/7 and 8/9. There is no explanation for any of the missed entries. Of the incident reports submitted, only 1 indicated a medication refusal. There were also 2 instances in which the morning medication was administered at 3pm and 10pm without any explanation. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
This standard is marked deficient due to there being a finding of abuse or neglect. |
— |
| 3 | — |
748.1437(5) - Discharge/Transfer Documentation-Must include list of medications child is taking, dosage, frequency, and reason prescribed
Review of the discharge summary showed medications were not listed. |
— |
| 5 | — |
745.621(a)(7) - AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605
During an unannounced inspection, it was found that a staff member, Sharon Branch, did not have a background check. It was reported Ms. Branch is not a caregiver and has no interactions with children in care. Ms. Branch completes work at the facility when children are not present. Staff's background check was submitted while at the operation during the inspection. |
Yes |
| 1 | — |
748.1703(b) - Menus-must document food substitutions on the menu that are of comparable food value
Observation of a menu change and nothing documented and speaking with the Administrator it was determined when an item is changed then it has not been documented. |
— |
| 4 | — |
748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
Based on a review of the information, it was determined that an adolescent in care sustained an injury that warranted treatment by a medical professional; however, the incident was not reported to Licensing within required timeframe. |
— |
| 4 | — |
748.303(a)(2)(A) - AP Serious Incdt-Report to Licensing no later than 24 hours after injury/illness that warrants treatment by a medical professional or hospitalization
The operation failed to report to Licensing the hospitalization of a child within 24 hours. |
— |
| 3 | — |
748.1437(5) - Discharge/Transfer Documentation-Must include list of medications child is taking, dosage, frequency, and reason prescribed
Review of the discharge summary showed medications were not listed. |
— |
| 5 | — |
748.4041 - Driver & passengers must follow all laws when driving, including laws on use of child passenger safety seat systems, seat belts & liability insurance
The van used to transport children does not have liability insurance. |
— |
| 5 | — |
748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation
This standard is marked deficient due to there being a finding of abuse or neglect. |
— |
| 5 | — |
745.621(a)(7) - AP Initial background checks submitted - At the time you become aware of anyone requiring a background check under 745.605
During an unannounced inspection, it was found that a staff member, Sharon Branch, did not have a background check. It was reported Ms. Branch is not a caregiver and has no interactions with children in care. Ms. Branch completes work at the facility when children are not present. Staff's background check was submitted while at the operation during the inspection. |
Yes |
| 4 | — |
748.2259(a) - Psychotropic medication documentation-Maintain a daily record of the child's use of psychotropic medication according to requirements in 748.2151
Medication logs reviewed for Brody's two prescribed medications (Lisderamfeta (am) and Risperidone (pm) revealed several missing dates. There is no entry for the am medication for 7/16, 7/20, 7/27, 8/10, 8/11. There is no entry on the pm medication for 7/15, 7/16, 7/26, 7/27, 8/7 and 8/9. There is no explanation for any of the missed entries. Of the incident reports submitted, only 1 indicated a medication refusal. There were also 2 instances in which the morning medication was administered at 3pm and 10pm without any explanation. |
— |
| 1 | — |
748.1703(b) - Menus-must document food substitutions on the menu that are of comparable food value
Observation of a menu change and nothing documented and speaking with the Administrator it was determined when an item is changed then it has not been documented. |
— |
51 inspection record(s) on file from TX-HHSC.
Licensed facilities near this one, highest compliance score first.